Organization
CENTERLINE FAMILY PRACTICE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA SHAH (MEDICAL BILLER)
(586) 754-3830
Entity
Organization
Contact information
Practice address
8033 E 10 MILE RD STE 105, CENTER LINE, MI 48015-1454
(586) 755-6101
Mailing address
8033 E 10 MILE RD STE 105, CENTER LINE, MI 48015-1454
(856) 755-6101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/30/2009
Last updated
07/09/2009
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